New Client Intake Your Name Your Email Your Phone Property Address I have occupied this property from Optional Ownership Details Does any other party have an ownership or spousal interest in the property? Yes No Unknown Is the property a condominium or a freehold property that includes an interest in a common elements condominium, (POTL)? (If yes, Schedule 821 to be completed.) Yes No Unknown Does ownership of this property require membership in an Association and payment of Association fees? Yes No Unknown If yes, specify Is the property subject to first right of refusal, option, lease, rental agreement or other listing? Yes No Unknown Are there any encroachments, registered easements, or rights-of-way? Yes No Unknown Not Applicable Is there a plan of survey? Yes No Unknown Date of survey Are there any disputes concerning the boundaries of the property? Yes No Unknown Are you aware of any non-compliance with zoning regulations? Yes No Unknown Are you aware of any pending developments, projects or rezoning applications in the neighbourhood? Yes No Unknown Are you aware of any public projects planned for the neighbourhood? eg: road widenings, new highways, expropriations, etc. Yes No Unknown Are there any restrictive covenants that run with the land? Yes No Unknown Are there any drainage restrictions? Yes No Unknown Are there any local levies or unusual taxes being charged at the present time or contemplated? Yes No Unknown If so, at what cost? Expiry date Has any notice, claim work order or deficiency notice affecting the property been received from any person or any public body? Yes No Unknown Is the property connected to municipal water? (If not, Schedule 822 to be completed.) Yes No Unknown Is the property connected to municipal sewer? (If not, Schedule 822 to be completed.) Yes No Unknown Are there any current or pending Heritage restrictions for the property or the area? Yes No Unknown Do you make any monthly or other payments on any conditional sales contracts, leases, rental agreements or service contracts? eg: furnace, alarm system, hot water tank, propane tank, etc. Yes No Unknown If so, specify Are they assignable or will they be discharged? Are there any defects in any appliances or equipment included with the property? Yes No Unknown Not Applicable What is the approximate age of the building(s)? Any age additions? Are you aware of any past or pending claims under the Tarion Warranty Corporation (formerly ONHWP)? Yes No Unknown Not Applicable If so, what is the Tarion Warranty Corporation/ONHWP Registration No Will the sale of this property be subject to HST? Yes No Unknown Not Applicable Is high speed internet available? Yes No Unknown Not Applicable Who is your internet provider? Internet cost Additional Comments Are you aware of possible environmental problems or soil contamination of any kind on the property or in the immediate area? eg: radon gas, toxic waste, underground gasoline or fuel tanks, etc. Yes No Unknown Are there any existing or proposed waste dumps, disposal sites or land fills in the immediate area? Yes No Unknown Are there any hydro generating projects planned for the immediate area? eg: Wind Turbines Yes No Unknown Not Applicable Is the property subject to flooding? Yes No Unknown Is the property under the jurisdiction of any Conservation Authority or Commission? Yes No Unknown Are you aware of any excessive erosion, settling, slippage, sliding or other soil problems? Yes No Unknown Does the property have any abandoned or de-commissioned well septic system swimming pool foundation If others, specify Is there a fuel oil tank on the property? Yes No Unknown If yes Underground Aboveground Date for required upgrading or removal Age of tank (If applicable) Date of last inspection Does the fuel oil tank comply with the Technical Standards and Safety Authority requirements and any other requirements for fuel to be delivered? Yes No Unknown Not Applicable Do you have water softener? Yes No Unknown Not Applicable If yes Owned Rental What is the age? Cost to rent Do you have a hot water tank? Yes No Unknown Not Applicable If yes Owned Rental Rental contract is with and cost to rent If owned, age of tank Condition of Windows Original Replaced Not Applicable If replaced, when? Has the use of the property ever been for the growth or manufacture of illegal substances? Yes No Unknown Additional Comments Are you aware of any structural problems? Yes No Unknown Not Applicable Have you made any renovations, additions or improvements to the property? Yes No Unknown Not Applicable Was a building permit obtained? Yes No Unknown Not Applicable Has the final building inspection been approved or has a final occupancy permit been obtained? Yes No Unknown Not Applicable To the best of your knowledge have the building(s) ever contained ureaformaldehyde insulation? Yes No Unknown Not Applicable Is there vermiculite insulation on the property? Yes No Unknown Not Applicable If yes, has it been tested for asbestos? Are you aware of any deficiencies or non-compliance with the Ontario Fire Code? Yes No Unknown Not Applicable Is the property equipped with operational smoke detectors? Yes No Unknown Not Applicable Is the property equipped with operational carbon monoxide detectors? Yes No Unknown Not Applicable Is the woodstove(s)/chimney(s)/fireplace(s)/insert(s) in good working order? Yes No Unknown Not Applicable Has the wood energy system been WETT inspected? (Wood Energy Technology Transfer) Yes No Unknown Not Applicable Are you aware of any problems with the central air conditioning system? Yes No Unknown Not Applicable Are you aware of any problems with the heating system? Yes No Unknown Not Applicable Air conditioner age Last serviced Are you aware of any moisture and/or water problems? Yes No Unknown Not Applicable Are you aware of any roof leakage or unrepaired damage? Yes No Unknown Not Applicable Age of roof covering Roof type Are you aware of any damage due to wind, fire, fiood, insects, termites, rodents, pets or wood rot? Yes No Unknown Not Applicable Have any repairs been carried out to correct any past or present problems related to the previous question? Yes No Unknown Not Applicable If yes, explain in additional comments Are you aware of any problems with the electrical system? Yes No Unknown Not Applicable Size of service Type of wiring Copper Aluminium Knob-and-tube Unknown Not Applicable Other types of wiring Are you aware of any problems with the plumbing system? Yes No Unknown Not Applicable Is there any lead, galvanized metal, cast iron or Kitec plumbing on the property? Yes No Unknown Not Applicable Are you aware of any problems with the swimming pool, sauna, hot tub, jet bathtub or lawn sprinkler system? Yes No Unknown Not Applicable Lower Level Lower Level Condition Finished Part Finished Unfinished Flooring and underlay Insulation in walls and ceiling Yes No Partial Not Applicable Bathroom (if applicable) gravity fed to septic or sewage ejector Additional Comments Appliance type Brand Age Condition This appliance is Included Excluded Not applicable Appliance type Brand Age Condition This appliance is Included Excluded Not applicable Appliance type Brand Age Condition This appliance is Included Excluded Not applicable Appliance type Brand Age Condition This appliance is Included Excluded Not applicable Appliance type Brand Age Condition This appliance is Included Excluded Not applicable Appliance type Brand Age Condition This appliance is Included Excluded Not applicable Appliance type Brand Age Condition This appliance is Included Excluded Not applicable Garage Type Detached Attached Not applicable Doors Type Insulated Doors Yes No Openers Remotes Storage/shelving Insulated (walls and ceiling) Heated or not Yes No If so, heating type Loft space Yes No Do you have a shed? Yes No If so, how many? Construction material BBQ gas line Yes No Do you have an Irrigation system? Yes No If so, age Last serviced Irrigation system zones Timers Do you have a pool? Yes No If so, check all that apply Liner Winter cover Pump Heater Skimmer Creepy crawler Water bags Filter Saltwater Vacuum Landscaping Do you have a deck? Yes No If so, age Deck size Deck material (if applicable) Patio material (if applicable) Vegetable gardens Perennials Do you have a pond? Yes, ornamental Yes, feed by a stream No Pump? Yes No Bubbler? Yes No Stocked? Yes No Depth? Do you have a gazebo? Yes No If yes, material Lights Outbuildings How many outbuildings? Size of each Construction material Do you have horse stalls? Yes No If so, size Flooring Rubber mats Horse wash stall Yes No Tack room Yes No Lockers Yes No Paddocks Yes No Oak boards Yes No Hay storage (approx. capacity) Taxes Any tax credits Need tax total for year Yes No Mortgage Does the property have a mortgage? Yes No If not, do you have the discharge paperwork? Yes No Not Applicable Inclusions Exclusions Rentals Send
